| NPI | 1609251172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON GILPATRIC Owner/President 888-531-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ME 1166321) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |