| NPI | 1477579654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOREE ANDERSON-IAROCCI Chief Operating Officer 855-914-9140 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2013-12-19 |