| NPI | 1750733994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK HANELINE General Manager 239-939-9722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |