| NPI | 1063648194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRITZ DOMINIQUE Mobility Service Provider 866-438-1599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2009-06-03 |