| NPI | 1588299317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELLA LEICHT Director Of Contracting 888-892-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |