NPI | 1073008504 |
---|---|
Other Name | LIFE CENTER |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER ROBERT DURKIN VP 904-202-5887 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2018-06-27 |
Last Update Date | 2019-01-07 |