| NPI | 1962136523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG KAHN CEO 424-286-1080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 251T00000X PACE Provider Organization |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2022-09-06 |