| NPI | 1538489257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW WIRICK Manager 800-973-4171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 20488888) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |