| NPI | 1326542119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A BUCKHOLDT President 800-845-6364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: UT 10515138-1714) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |