| NPI | 1740748342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ECKERT General Manager 855-209-8755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-04 |