| NPI | 1003418351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELINE C LIBERISTE Ambr 561-563-2071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2020-11-11 |