| NPI | 1841693991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON STORMOEN Clo 800-818-5582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: CA 74874) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2014-12-01 |