| NPI | 1922788041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHAUNDA DELORES VAUGHN Founder 513-223-1295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 224900000X Mastectomy Fitter |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2025-01-17 |