| NPI | 1164583456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY ECKHARDT President/CEO 239-596-5007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL 111) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-02-04 |