| NPI | 1225691108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY BASILE Member Mgr. 888-671-1096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2020-06-02 |