| NPI | 1669764114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YENISEY YANES President 301-668-9707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2021-08-30 |