| NPI | 1811515711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA LIBERATTORE Member Manager 866-981-2388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-10-29 |