| NPI | 1194192070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS MONTZ President 251-947-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 0213534) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |