| NPI | 1669619730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OTHO JEREMIAH BLOCKSOM President 800-661-9048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2009-01-12 |