| NPI | 1467418004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ED WHITE Manager 302-472-6712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: DE 2004206779) |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2020-08-22 |