| NPI | 1548602121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMIN BAMBUR Owner 980-237-2217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NC C201306400298) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC C201306400298) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2022-06-01 |