| NPI | 1740678630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY MICHEAL MCDERMAND CEO 877-311-6731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2014-12-31 |