| NPI | 1770399503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UNKNOWN FATIMA BEGUM Owner/President 469-880-1339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-12-06 |
| Last Update Date | 2025-04-22 |