| NPI | 1780089839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN ORTON COO 866-963-8889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2014-10-31 |