| NPI | 1679915409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARASH KOUCHESFEHANI Owner 1408-375-7385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |