| NPI | 1477765667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA E SNYDER Manager/Member 239-949-4412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2021-09-30 |