| NPI | 1154482552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG DALEY Managing Member 386-673-6902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1312817) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2008-01-31 |