Organization
ATTACH-N-WRAP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IKESHIA HARVEY NCUBE (CEO)
(863) 289-1410
Entity
Organization
Contact information
Practice address
2380 CENTER STONE LN, RIVIERA BEACH, FL 33404-1828
(863) 289-1410
Mailing address
2380 CENTER STONE LN, RIVIERA BEACH, FL 33404-1828
(863) 289-1410
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
N210408868290
FL
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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