| NPI | 1710445309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINAH L WILLIAMS Office Manager 267-331-8905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-04 |