| NPI | 1285860460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM AUSTIN HERLOCKER Member 877-900-8388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2009-06-02 |