| NPI | 1407228786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA LORIE Managing Member 386-736-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-10-26 |