| NPI | 1407732449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIJU THOMAS CEO 267-368-9582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2025-08-14 |
| Last Update Date | 2025-08-14 |