| NPI | 1639941321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM EBNDAOUD President 267-690-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171WH0202X Contractor, Home Modifications |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2023-10-26 |