| NPI | 1699587055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRISON GEORGE Billing Manager 341-243-3701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-01-23 |
| Last Update Date | 2025-01-23 |