| NPI | 1366119729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL MANION Vice President 866-201-3829 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2021-08-27 |