| NPI | 1629566237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICE WILLIAMS Owner 267-809-3904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA 4000007541) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-04-30 |