| NPI | 1407995657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL DELGADO Administrator 800-250-4468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 1313213) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2012-03-08 |