| NPI | 1538782172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI VALENTINE Director, Dme 800-582-8667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2020-05-18 |