| NPI | 1083241822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMISHIA K BRACKINS Owner 754-204-2186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-03-23 |