| NPI | 1174451728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAISTA MEHMOOD Manager 606-578-1582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2026-05-13 |
| Last Update Date | 2026-05-13 |