| 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 |