| NPI | 1972102051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL COLLINS Owner 980-339-2848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2023-12-27 |