| NPI | 1285135301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES GARY HAUSER President 866-597-0609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA ATP1528) |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2023-10-17 |