| NPI | 1730975103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EXONDUS DAMONE BARNES Owner 401-563-7045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-04-15 |
| Last Update Date | 2025-04-15 |