| NPI | 1477161073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY MARTIN STEFLIK Owner 386-427-8403 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |