NPI | 1285214700 |
---|---|
Entity Type | Organization |
Authorized Contact | JUANITA MARTIN CEO 407-801-2863 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
Enumeration Date | 2021-04-09 |
Last Update Date | 2021-04-09 |