| NPI | 1508058918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FISH Billing Manager 888-999-2009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA DME02457F) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2007-08-10 |