| NPI | 1811172497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY J. ZAK Contract Administrator 800-737-0045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2010-08-03 |