| NPI | 1164189783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERI TARANTINO Authorizing Agent 913-526-5282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2021-11-18 |