| NPI | 1780297929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIANNA CORREIA Member Manager 561-318-6866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-08-27 |
| Last Update Date | 2020-10-29 |