| NPI | 1750564027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL YAKAPOVICH Managed Care Sales Manager 800-566-8558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN 86-777-3280) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2007-12-10 |