| NPI | 1649691650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON ROUSE Owner/Manager 450-848-5130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2022-07-21 |