| NPI | 1457979775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESHAWN WITTER President 800-233-4950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |