| NPI | 1629581244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG S STEVENS President 888-845-8698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 20253428833) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2019-08-29 |