| NPI | 1346888666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY GOODESMITH CEO/Owner 888-886-1167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-20 |