| NPI | 1861040560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL MCLENDON Vice President Of Administration 888-400-0508 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2026-03-23 |