| NPI | 1013126978 |
|---|---|
| Doing Business As | WALK OF HOPE BOUTIQE |
| Entity Type | Organization |
| Authorized Contact | DONNIE ROMINE System COO 904-308-1290 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 5698230001) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2012-09-19 |