| NPI | 1487121117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENTON DOUGLAS Mem Mgr. 561-723-3037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2018-10-31 |