| NPI | 1831648815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE MONTGOMERY Owner 347-431-2880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-10-01 |
| Last Update Date | 2016-10-01 |