| NPI | 1598580771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE NICOLE HUTCHINSON Owner/Administrator 424-204-3403 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-11-21 |
| Last Update Date | 2024-11-22 |