NPI | 1407633803 |
---|---|
Entity Type | Organization |
Authorized Contact | RACHEAL HANNAH Office Assistant 618-979-4610 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies |
Enumeration Date | 2023-09-11 |
Last Update Date | 2023-09-11 |