| NPI | 1821897471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATASHA LOOPER Employee Of The Organization 904-574-7180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-03-07 |