| NPI | 1053881490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA DME SUCKIE Owner 954-624-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2019-10-01 |