| NPI | 1144979485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLY JACOBS Chief Clinical Director 302-299-5617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2023-03-02 |