| NPI | 1891026324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI MARIE VANIWARDEN Sole Owner 877-710-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2010-01-22 |