| NPI | 1700572203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GALLUP Vice President Of Operations 541-941-0459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2023-04-17 |