| NPI | 1477507036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA L CAVANAGH President 888-678-6692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 18327893) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2011-05-19 |