| NPI | 1851335137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY N THACKER CFO 800-289-5476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 100491) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2020-08-22 |