| NPI | 1932989993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINA OGANYAN Secretary 469-208-9258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2025-03-25 |