| NPI | 1447883673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERICK KOSGEI President/Owner 469-531-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-10-23 |