| NPI | 1700144003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ANDREW WALLACE CEO. 888-216-3576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2012-04-25 |