| NPI | 1720745219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MATTHEW CLARK Owner 888-213-5069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2021-11-19 |