| NPI | 1255325924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTLE ROSE LIVINGSTON Owner 954-518-0966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2008-01-02 |