| NPI | 1760963177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFANIE PAULUS Executive Practice Manager 844-365-7246 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2023-07-03 |