| NPI | 1528623493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANSHEA VANDROSS President 386-984-0636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2019-05-07 |