| NPI | 1639880636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA JEANNE JACOB Owner 800-585-0501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2022-12-09 |