| NPI | 1962194126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BUCK LUIS CAMINO Operations Manager 800-966-4804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2023-05-24 |