| NPI | 1174082374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN ROBINSON Owner 302-547-2982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-03-18 |