| NPI | 1992274260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY SCHINDERLE Medical Staff/Hr Coordinator 888-724-6377 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2018-11-16 |