| NPI | 1417726944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MCKEOWN Owner 475-422-2207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2023-12-26 |
| Last Update Date | 2024-04-05 |