| NPI | 1629663497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASIA T MCCLUSTER Owner 229-395-0868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2021-03-04 |