| NPI | 1437480225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG ANTHONY MORISSETTE Dme Manager 800-857-6783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1313483) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 07887/11.1) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203.0012058) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AR MG00928) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 50454) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA 6000007257) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 69000463A) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV MP00570) | |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2010-01-19 |