| NPI | 1982258224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI GLENNY Branch Manager 866-321-3508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-07-25 |