| NPI | 1275001018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE BALLESTEROS President 239-315-1915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2018-11-09 |