NPI | 1649919945 |
---|---|
Entity Type | Organization |
Authorized Contact | TERESA POURKAY Owner 239-339-7852 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
Enumeration Date | 2022-06-03 |
Last Update Date | 2022-06-03 |