| NPI | 1366795916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L ROUEN Owner 800-553-6971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 61919) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2020-07-10 |