| NPI | 1326640251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH CHRISTOPHER PEURRUNG Owner 386-362-9223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2020-11-16 |