| NPI | 1720021868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE DIANE GLINES Business Manager 800-636-2704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: OR NPC-0001897) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2008-05-14 |