| NPI | 1114155322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN V HARDWICK Managing Member 321-385-9750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2010-07-01 |