| NPI | 1144193061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSANE QUIRINO RAHMAN Manager 571-572-7063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-09-26 |
| Last Update Date | 2026-03-02 |