| NPI | 1578764106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH SPEERLI Administrative Director 800-553-6971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 61919) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |