| NPI | 1205682093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH GRANT ZARZOUR Principle Physician 251-654-3798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2024-04-24 |