| NPI | 1801175344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM R. EXNICIOS Partner 888-280-2366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2011-08-15 |