| NPI | 1447926969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA JEROME Director Of Operations 239-247-2041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2021-08-17 |