| NPI | 1215746789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARIYAL HENRY Authorized Official 346-606-0327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2025-09-30 |