| NPI | 1801550132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DILLON WATERS Owner 808-675-6190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2021-10-22 |