| NPI | 1710590534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA WILSON Sole Member 267-761-1290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2021-06-15 |