| NPI | 1194055475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG MINTON VP Operations 877-414-4260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KS 16-00186) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2016-08-03 |