| NPI | 1902369267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J ROBICHAUD CEO 866-834-7473 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2024-02-22 |