| NPI | 1780113696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALANA BAXTER Billing Manager 877-494-4956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2024-04-26 |