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 |