| NPI | 1124590120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY J. LIU President 267-250-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2019-01-02 |