| NPI | 1922837608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISHWARA RAVI PACHOON Director 678-905-5789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2025-06-05 |