| NPI | 1578749420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA A. EDWARDS President 866-585-6704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD R2586) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2008-07-30 |