| NPI | 1477358539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESHALA S ROBINSON Owner 863-585-8202 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2025-02-13 |
| Last Update Date | 2025-02-13 |