| NPI | 1629063623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA A WISEMAN President 954-515-0740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2020-06-15 |