| NPI | 1962982256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIE SEXTON Credentialing Manager 724-349-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-08-16 |