| NPI | 1417828930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAZIM UDDIN MOHAMMED Manager 332-205-8825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-09-16 |
| Last Update Date | 2026-05-18 |