| NPI | 1306803689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE LYNN RUSSELL President 954-327-8094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1312947) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2009-08-19 |