| NPI | 1073364576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ORLANDO ROSALES Authorized Official 754-812-1653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-04-01 |