| NPI | 1932063104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLA M EDWARDS Manager 833-838-3533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-12-12 |
| Last Update Date | 2025-12-12 |