| NPI | 1346883048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA C WILLIAMSON Owner 239-985-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2023-09-26 |