| NPI | 1144077090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANISHA TEEMER CEO 866-897-4301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2024-04-30 |