| NPI | 1821326414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY LYNNE MANOUGIAN C Fm 036-964-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2019-05-24 |