| NPI | 1912612425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRA RUSSELL Owner/President 561-541-8586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-01-18 |
| Last Update Date | 2024-07-03 |