| NPI | 1750876033 |
|---|---|
| Doing Business As | FAYETTEVILLE HEALTH PRODUCTS |
| Entity Type | Organization |
| Authorized Contact | JULIE L RIEDL Owner 315-637-2307 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2022-07-21 |