| NPI | 1508508094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYETA MONE THOMAS Owner 346-404-8863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2022-04-13 |