| NPI | 1720973340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMPARO LEMUS Authorized Official 929-654-7977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-06-13 |