| NPI | 1124716709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LEWIS Authorized Offical 267-298-9582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-15 |