| NPI | 1316195662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIGID B OGDEN Managing Member 239-594-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL OPC 3928) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2008-08-28 |