| NPI | 1043251879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY C RAY Vice President 229-219-0053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-08-22 |