| NPI | 1750903795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY PEREZ-LOPEZ Member Manager 754-223-5160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-10-22 |