| NPI | 1295858736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN MALOTT Compliance Manager 234-200-1382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 171WH0202X Contractor, Home Modifications | |
| 171WV0202X Contractor, Vehicle Modifications | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2025-10-08 |