| NPI | 1841730595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER INDELICATO Administrator 800-590-4495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2025-04-23 |