| NPI | 1609224427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE BURFORD-FOGGS Md/Owner 844-477-6543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-09-06 |