| NPI | 1023462223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW FORD Chief Operating Officer 210-201-7245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 171WV0202X Contractor, Vehicle Modifications |
| 332S00000X Hearing Aid Equipment | |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2022-06-29 |