| NPI | 1073885422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY M ILIFF President 251-709-1131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |