| NPI | 1902258916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIN WILLIAM JOHNCOCK CEO 888-412-8087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2024-02-08 |