| NPI | 1497082440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON ASHWORTH Director 866-620-3670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2015-12-15 |