| NPI | 1932667516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY M VESTAL President And Director 866-897-8588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2023-05-16 |