| NPI | 1932073566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA BEZZUBIKOFF Chief Programs Officer 866-270-3262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 111N00000X Chiropractor |
| 122300000X Dentist | |
| 171R00000X Interpreter | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 251E00000X Home Health | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2025-10-06 |
| Last Update Date | 2025-10-06 |