| NPI | 1750999306 |
|---|---|
| Other Name | YEAR |
| Entity Type | Organization |
| Authorized Contact | CEDRIC THURSTON ROSS KING Manager 346-763-5935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-27 |