| NPI | 1033126123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH KING Owner President 251-287-7067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 111612) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2014-11-03 |