| NPI | 1558848556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN PATTRIN Owner/Manager 754-206-4175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2020-07-24 |