NPI | 1790274991 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER DIAZ Manager 267-824-0972 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies | |
332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
Enumeration Date | 2018-05-03 |
Last Update Date | 2020-10-02 |