| NPI | 1104567189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARYD STEIN Owner/ Chief Executive Director 866-552-4866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2026-01-05 |