| NPI | 1679070114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI R ALLAN General Manager 385-474-6339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-04-11 |