| NPI | 1659791465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON J MAXON MALDONADO Manager/Member 844-614-7783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2014-04-18 |