| NPI | 1518456342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA NICOLE LIGHTFOOT Vice President 386-585-5716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-05-07 |