| NPI | 1134921687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSANE QUIRINO RAHMAN Manager 571-351-9614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-07-09 |