| NPI | 1780993428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA PADRON Office Manager 888-590-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1313715) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL DME9999999999) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2014-11-03 |