| NPI | 1376379701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN BURDETT Owner 302-397-4644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2024-09-11 |