| NPI | 1750043006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILBUR GAY CFO 888-696-3541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2021-10-13 |