| NPI | 1598054629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA M MARTINEZ CEO 866-373-7747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: PA 8000001901) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2015-10-27 |