| NPI | 1457903395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN VILLAS Executive Director 800-399-2098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-11 |