| NPI | 1336916600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISHNA PUCHAKAYALA CEO 662-780-1868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-12-07 |
| Last Update Date | 2024-01-17 |