| NPI | 1770588907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE MARIE FOSTER Vice President 888-406-5990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0039557) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 0039557) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: TX 0039557) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 0039557) | |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2020-04-13 |