| NPI | 1699397075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACCIN JEAN-BAPTISTE President 754-779-7210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2021-02-22 |