| NPI | 1487947453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND DANIEL SHORES President 888-287-4323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2017-08-17 |