| NPI | 1629408901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW JOHN WILSON Director 0044153-163-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |