| NPI | 1619708146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITESH YERALLU Director 332-330-4613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2024-08-07 |