| NPI | 1962991547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLON D ALFARO Managing Member 239-285-9143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |