| NPI | 1114661253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WEAVER General Counsel/C.L.O. 800-723-9180 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-04-25 |