| NPI | 1386321362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINASTI NAZAIYH JONES Owner 864-479-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-06-30 |