| NPI | 1730904277 |
|---|---|
| Doing Business As | JEROME SHORES |
| Entity Type | Organization |
| Authorized Contact | JEROME SHORES CEO 331-321-7736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 347E00000X Transportation Broker |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2024-11-19 |