| NPI | 1710750146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ONESIA ANN HARDING Owner 702-202-5857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2023-11-07 |