| NPI | 1679833719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVA JOHNSON CEO 347-526-7787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 1205165) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2012-05-23 |