| NPI | 1831502301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY SCOTT WARD Director 1888-884-9493 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-11-12 |