| NPI | 1295727931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM M BILL General Manager 877-744-1078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2017-12-08 |