| NPI | 1780959221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM HENRY PIERCE Owner 239-281-3356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0206009663) |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2012-03-16 |