| NPI | 1629674593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TENNYSON WHALES Manager 954-558-7462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2020-12-07 |