| NPI | 1811722275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASIB MATEEN Authorized Official 346-340-4660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-05 |