| NPI | 1578917654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE WILLIAMS Owner/Business Manager 866-923-0515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2016-04-14 |