| NPI | 1790486173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA ROSEBORO Managing Member 980-345-9376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-11-06 |