| NPI | 1568715795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS RODRIGUEZ Regional Director 7877-273-8115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2015-01-20 |