| NPI | 1114749751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL REED Owner 344-473-3399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2024-10-25 |
| Last Update Date | 2025-01-21 |