| NPI | 1811287055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH BEAL Owner/Provider 347-813-9567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2012-05-31 |