| NPI | 1134087562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TISHA MCKENNA President 341-758-2097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-01-14 |
| Last Update Date | 2026-01-14 |