| NPI | 1689212425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMA KENNEDY-CROSBY Member Manager 800-465-3203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2020-10-26 |