| NPI | 1407668379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMISHIA LITTLE Authorized Official 844-438-2525 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-02-03 |