| NPI | 1891728697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN YOUNGBLOOD RUMMEL Compliance Manager 888-345-1780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2023-08-09 |