| NPI | 1508350810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK HIBBEN Manager, Regulatory Compliance 866-546-6893 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2019-06-11 |