| NPI | 1194337683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN ASHLEY FERGUSON Owner 844-397-5011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2022-04-28 |