| NPI | 1851454219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA CRYSTAL REEVE Office Manager 800-736-2421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 100104) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2008-05-13 |