| NPI | 1457068421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN RESMANN Admin 772-985-8101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2022-10-31 |