| NPI | 1861105322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENEVIEVE BASSLER Credentialing 907-563-3145 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2022-12-29 |