| NPI | 1629828033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JENKINS President 870-503-4216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2024-03-26 |