| NPI | 1619292018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATYANA V WHITE Owner/President 866-737-9397 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2015-03-05 |