| NPI | 1710545843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SKYLAR DEERMAN Member Manager 888-777-0759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2020-03-26 |