| NPI | 1265637946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA ANN JEREZ Partner 866-552-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2020-08-22 |