| NPI | 1205139995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON SEBASTIAN Owner 888-391-4363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2010-12-17 |