| NPI | 1598239386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON M BECK Authorized Member 800-978-7599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2023-11-15 |