| NPI | 1992224687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD AYUB Administrator 531-500-8701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2022-07-21 |