| NPI | 1053891812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKINYA HAMILTON Manager 888-618-2671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-10-15 |