| NPI | 1164128310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACKENZIE NECENCE President 877-777-0557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-01-31 |