| NPI | 1528368578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAHEIYA S MCCLENDON General Manager 863-877-5995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2010-12-08 |