| NPI | 1548255862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY L CARNEY Billing Manager 302-674-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: DE 1989013645) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2020-08-22 |