| NPI | 1215683982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYTHSUKA LOUIS President 800-672-4352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2022-02-22 |