| NPI | 1134356835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERI K MILLARD Owner/ CEO 904-534-3266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2010-03-31 |