| NPI | 1669522967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT NUDD Manager 866-494-1948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203.000841) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2009-12-15 |