| NPI | 1124380340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS A SNARR Owner 866-456-7607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 21539502) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2012-06-13 |