| NPI | 1083231393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR DAHL Member Manager 561-972-4136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2021-02-22 |