| NPI | 1588470678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIRDAV KHOLMURATO Owner 215-494-6744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2024-12-04 |