| NPI | 1669849964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL JOSEPH GRANT President 239-272-0140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-08-22 |
| Last Update Date | 2016-09-29 |