| NPI | 1669522686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVICE RICKARDS Owner 302-227-2201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: DE 1993106074) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |