| NPI | 1194247551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD HIBBEN Compliance Manager 866-546-6893 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2022-07-21 |