NPI | 1174763825 |
---|---|
Entity Type | Organization |
Authorized Contact | WENDY RUSSALESI Cco 484-246-9499 |
Organization Subpart ? | No |
Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: OH 73040280) |
Enumeration Date | 2009-02-20 |
Last Update Date | 2025-10-13 |