| NPI | 1902963689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN J. MILLER President 800-558-7837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 24382655) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2017-01-24 |