| NPI | 1740537174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONYELLE MCBRIDE Owner 960-985-2081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 046491) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2012-08-03 |