| NPI | 1275008047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA J WEBB Operations Manager 833-788-1865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2026-02-23 |