| NPI | 1366907578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEXIEANN WILLIAMS Owner 347-520-6813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2019-02-01 |