| NPI | 1679729610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J EVANS Billing Manager 877-436-3894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WV 200295036001) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2009-12-28 |