| NPI | 1992429104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROOSEVELT REEDE Owner 203-605-5328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2022-09-30 |