| NPI | 1962231399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRINGTON PHILLIPS ALTENBERN Owner Auth Official 737-703-8191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-08-01 |