| NPI | 1851000947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY J WASHINGTON Owner 347-854-3430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2022-11-17 |