| NPI | 1790780781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYLYNN GARGAC Billing Supervisor 800-682-5510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2022-07-21 |