| NPI | 1184413569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN HOPPENWORTH Owner 239-257-1379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-05-02 |
| Last Update Date | 2025-10-14 |