| NPI | 1568465185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON HOUSENBOLD President 561-347-7997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1338) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2020-01-27 |