| NPI | 1407202120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DAVID CARDELL CEO 800-588-6190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 102-775138) |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: CA 102-775138) |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2022-07-21 |