| NPI | 1588427694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILDA B BEAUVAIS Administrator/Owner 954-997-5842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2024-02-01 |