| NPI | 1043976079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN THOMAS LAVOIE President 954-591-4199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2021-11-15 |