| NPI | 1265080543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIE MARIE LAWSON Owner 561-706-7734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |