| NPI | 1760902290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE PACK Operations Manager 888-543-4039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2018-04-18 |