| NPI | 1457039430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLENA HARTFIELD Owner 518-365-3365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-07-10 |