| NPI | 1780570028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES JONATHAN Billing Manager 346-466-5298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-06-13 |
| Last Update Date | 2025-06-13 |