| NPI | 1194140459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERI KILLOUGH MILLARD CEO 904-534-3266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: None) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2023-10-18 |