| NPI | 1982176996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEATRICE RILEY Director 888-678-4160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2019-01-02 |