| NPI | 1508280017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMIE J DRAINE Director Of Billing 302-645-8070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: PA 3000008758) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2014-02-05 |