| NPI | 1700695053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAENNA LYNNE JANUARY Consultant 561-945-7683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-01-02 |
| Last Update Date | 2025-01-02 |