| NPI | 1609003573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM HENRY PIERCE Owner 239-985-4138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2010-08-13 |