| NPI | 1033741681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORDELL JETER President 888-976-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |