| NPI | 1689401358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZHER FAROOQ Owner Opreator 270-293-7849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-09-17 |
| Last Update Date | 2025-04-21 |