NPI | 1154712370 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS GLEN WINGER Member 885-581-7082 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 0000001248) |
Enumeration Date | 2015-02-10 |
Last Update Date | 2018-09-21 |