| NPI | 1497121446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA ALLEN Biller 786-594-5502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA CO070153) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2015-08-13 |