| NPI | 1588408967 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MOHAMMED ABDULRASHEED KHALIDI Manager 866-579-9472  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies | 
| Enumeration Date | 2024-06-21 | 
| Last Update Date | 2025-04-21 |