| NPI | 1114441573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS BURRUSS President 888-543-4039 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2019-03-29 |