| NPI | 1639997463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASIA JONES Owner 267-250-9751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-01 |