| NPI | 1346139664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARDEN KAIN Authorized Official 628-305-5051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies |
| Additional Taxonomies | 122300000X Dentist |
| 225100000X Physical Therapist | |
| Enumeration Date | 2025-07-01 |
| Last Update Date | 2025-11-25 |