| NPI | 1508212820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFANIE PAULUS Administrator 844-365-7246 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2020-11-30 |