| NPI | 1497515266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIVAN CACERES Authorized Official 754-812-1087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-03-20 |