| NPI | 1891069068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILLIEN K DURRANT President 347-405-9182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2019-06-21 |