| NPI | 1184817637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DENNIS KOLATA Vice President Of Operations 866-663-8620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-08-18 |
| Last Update Date | 2009-01-15 |