| NPI | 1669773529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DOUGLAS RIBEIRO C.E.O 1515-556-7626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IA 00863) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2010-11-09 |