| NPI | 1467163451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA JEANNE JACOB Owner 888-608-0643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2022-12-09 |