| NPI | 1760462030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL P MCMAINS VP, Provider Relations/Contract Adm 800-848-1989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2020-08-22 |