| NPI | 1912077306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RAY HOLLAND Partner 800-453-9686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 0002039740-0001-4) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |