| NPI | 1164717831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD GREGORY POLITE Director Of Amds 888-727-3016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 2080154249098) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2019-04-11 |