| NPI | 1346657434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVY E ROMAN Owner 787-833-0684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-21 |