| NPI | 1578383584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC DEWAYNE RUFFIN Owner 877-436-8095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2025-10-02 |