| NPI | 1669160735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAXTON MARCUS PARKER Owner 808-931-9139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2023-04-27 |