| NPI | 1770851644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARRED COHEN Managing Member 1800-706-4184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2012-06-11 |