| NPI | 1437364825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHYLA BURRELL Credentialing Coordinator 888-590-4002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2016-02-22 |