| NPI | 1548942790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHATARRA TASHALA EASTERWOOD Owner/Authorized Official 346-661-3560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2024-01-11 |