| NPI | 1447832027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAKHTANA TKHILISHVILI President 343-983-3320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2021-04-23 |