| NPI | 1346882354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON M ESTOCK Operations Manager 302-373-9883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |