| NPI | 1558638403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLSON FEQUIERE Owner 347-325-8258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2011-11-21 |