| NPI | 1144168071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN MARIE JACKSON CEO 917-718-5746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-03-23 |
| Last Update Date | 2026-03-23 |