| NPI | 1023096260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY RENEE JENNINGS President 239-948-3898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1312091) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2011-12-08 |