| NPI | 1972572618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WADE PHIL FARROW President/CEO 877-417-5187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2020-08-22 |