| NPI | 1285130872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES RONALD GREEN Corp Director 844-222-0466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-04-02 |