| NPI | 1659189868 |
|---|---|
| Former Legal Business Name | MTA EXCLUSIVE LLC |
| Entity Type | Organization |
| Authorized Contact | TAHA AFSAR Owner 570-554-2248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-12-19 |
| Last Update Date | 2025-09-02 |