| NPI | 1720574981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETTON HEVENER President 866-801-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 98861) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |