NPI | 1619730751 |
---|---|
Entity Type | Organization |
Authorized Contact | WENDY RUSSALESI Cco 484-246-9499 |
Organization Subpart ? | No |
Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
Enumeration Date | 2024-02-01 |
Last Update Date | 2024-02-01 |