NPI | 1811447386 |
---|---|
Entity Type | Organization |
Authorized Contact | IBETH BUITRAGO CEO/Director 501-707-0573 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2016-10-09 |
Last Update Date | 2018-05-09 |