| NPI | 1053556191 |
|---|---|
| Doing Business As | MARY BLACK MINOR CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | DEBBIE BREWER Director 877-892-9813 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2009-02-23 |