| NPI | 1801409727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HENDERSON Member Manager 347-441-8559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-08-29 |
| Last Update Date | 2020-10-26 |