| NPI | 1124558762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNON CHARLES WHITE Managing Partner 844-417-8633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2018-09-19 |