| NPI | 1730204199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANDALA NICOLE SMITH Officer 866-883-3453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-18 |