NPI | 1700389640 |
---|---|
Entity Type | Organization |
Authorized Contact | JIMMY MOON Owner 302-500-0950 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: DE 2015102773) |
Enumeration Date | 2018-03-16 |
Last Update Date | 2018-03-16 |