NPI | 1285808170 |
---|---|
Entity Type | Organization |
Authorized Contact | JERI H FRANCOEUR Owner 386-615-4990 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL AL56) |
Enumeration Date | 2008-04-22 |
Last Update Date | 2008-04-22 |