| NPI | 1073013009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA M HILEMAN President 772-877-1045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-02-16 |