| NPI | 1174206403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY LYNN PATTERSON Owner 786-489-2453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2023-08-11 |