| NPI | 1497621403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MARSHALL Manager 342-344-3234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-10-15 |
| Last Update Date | 2025-10-15 |