| NPI | 1740023134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITESH YERALLU Director 302-596-8666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-06-17 |