| NPI | 1750488656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN MARIE CHIPONGIAN Vice President 888-496-2115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 103783) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 17511) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 103783) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: CA 103783) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: CA 17511) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: CA 434672) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |