NPI | 1427405075 |
---|---|
Entity Type | Organization |
Authorized Contact | BEVERLEY KAY BAITY Medicare Biller 217-422-7150 |
Organization Subpart ? | No |
Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
Enumeration Date | 2016-05-24 |
Last Update Date | 2016-05-24 |