NPI | 1467227611 |
---|---|
Doing Business As | CUSTOM GOLF CART REPAIR |
Entity Type | Organization |
Authorized Contact | DAWN GREEN Managing Member 702-765-0066 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2023-11-17 |
Last Update Date | 2023-11-17 |