| NPI | 1881425932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERELL EDWARDS Managing Member 321-710-6568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |