| NPI | 1407308406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA LYNN MATTIMOE President 800-893-7987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 201629402788) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2025-08-11 |