| NPI | 1861374373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTORIA JACKSON Owner 305-986-7836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-07-24 |
| Last Update Date | 2025-07-24 |