| NPI | 1982183026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN WALSH CRISMAN Manager 844-877-7548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2023-07-20 |