| NPI | 1407498041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KADY ZELENAK Member Manager 888-445-4404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2020-10-26 |