| NPI | 1730706896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE GIBBS-JOHNSON Owner 561-826-8169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-09-22 |