NPI | 1861295909 |
---|---|
Former Legal Business Name | AGEWELL RPM |
Entity Type | Organization |
Authorized Contact | LUKE A KIST Owner 251-223-2212 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
332900000X Non-Pharmacy Dispensing Site | |
Enumeration Date | 2025-03-31 |
Last Update Date | 2025-03-31 |