| NPI | 1881514123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK JOSEPH BROWN Owner 346-396-1252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2026-07-17 |
| Last Update Date | 2026-07-17 |