| NPI | 1942996095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANELIA GOLDEN Administrator 202-609-2411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-12 |