| NPI | 1760065700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH JOSEPH President 754-333-4782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2021-04-28 |