| NPI | 1538726898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDRA KASCHAK Administrator 561-899-0664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-05-22 |