| NPI | 1235212333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIDIA E MANTILLA President 239-267-1943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |