| NPI | 1639629108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBETH BUITRAGO CEO/Director 501-505-4008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-10-09 |
| Last Update Date | 2018-05-09 |