| NPI | 1821276056 |
|---|---|
| Doing Business As | IMMACULATE MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ANANI Director 832-419-1199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2009-07-09 |