| NPI | 1629956206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASIA WILLIAMS-THOMPSON Owner 209-808-3198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-08-22 |
| Last Update Date | 2025-08-22 |