| NPI | 1942060702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE WILSON CEO 888-914-6633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 251E00000X Home Health |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-03-20 |