| NPI | 1639160229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE M HIRSCH VP Of Operations 800-445-9622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: WA 602 158 743) |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2011-11-21 |