| NPI | 1962932566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS BURRUSS President 888-543-4039 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2022-07-21 |