| NPI | 1710322052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY LELAND KROTTINGER COO 800-266-9141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |