| NPI | 1285722090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARR LANE QUACKENBUSH President 800-435-8316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2008-10-02 |