| NPI | 1205138856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED ABDULRASHEED KHALIDI Manager 866-417-0903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1000474) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2024-08-25 |