| NPI | 1922081579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE FRANCES GOODRICH Owner 800-292-1971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2020-08-22 |