| NPI | 1902350259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVIKA WAYNISHA THOMAS Manager 904-874-1655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2018-12-05 |