| NPI | 1003507310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVIS President 267-446-4319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2023-05-17 |