| NPI | 1215702261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY BURKART Managing Member 571-232-3179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2023-11-20 |