| NPI | 1841861127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENYA LATREESE TAYLOR CEO 331-215-9065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2021-07-08 |