| NPI | 1114810462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WALL Chief Operating Officer 295-205-7092 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-06-03 |
| Last Update Date | 2025-06-03 |