| NPI | 1265737217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIAN PAUL DAVIS Owner 229-236-0197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-04-11 |