| NPI | 1972161974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHALLEN SULLIVAN Manager 888-659-5898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-06-04 |