| NPI | 1912465311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENAYSWHARIE DHANRAJ Owner/President 984-200-7950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2022-01-05 |