| NPI | 1043995129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIA RACHEL MALLORY CEO 267-257-7612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2023-06-16 |