| NPI | 1811340219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIVONN SULLIVAN Billing Specialist 888-777-3198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |