| NPI | 1780502302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS S Owner 985-999-6576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2026-07-09 |
| Last Update Date | 2026-08-03 |