| NPI | 1053175968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAREA SMITH-LEWIS CEO/President 954-658-0891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-02-12 |