| NPI | 1871542860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY PERRY President 866-742-0581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MI ME-0159374) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-08-22 |