| NPI | 1114569290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE SHAKESHA PAGE Co Founder 844-528-4247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |