| NPI | 1740111616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE LYNN LOUIDOR Owner 754-317-1135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-05-28 |
| Last Update Date | 2026-06-16 |