| NPI | 1437858297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANN GRAVES Credentialing COO Rdinator 888-732-4293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-03-01 |