| NPI | 1205121191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICAH PFEIFFER COOPER Owner 9043-434-7039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-06-18 |
| Last Update Date | 2011-11-04 |