| NPI | 1528402641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWAYNE CARLTON PARKS Owner 202-277-9253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2013-04-19 |