| NPI | 1730605528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSSNAIN FAROOQ Administrator 844-229-4507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2017-08-14 |