| NPI | 1962115469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY WARD Owner /Founder 484-868-2114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| 332H00000X Eyewear Supplier | |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2023-02-17 |