| NPI | 1144947300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAPOUCHINE PHAREL-MANWARING CEO 857-247-8906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2022-10-27 |