| NPI | 1336381854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRRA KERN General Manager 954-564-3381 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2012-04-30 |