| NPI | 1013317239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN ANGUS HIGGINS Owner 347-600-4309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1130053) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2014-08-25 |