| NPI | 1538622204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERI TARANTINO Authorized Agent 913-526-5282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2020-11-19 |