| NPI | 1255704060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIN WILLIAM JOHNCOCK President 888-412-8087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2021-08-26 |