| NPI | 1265916118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LARRY SMITH President 302-766-5799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2018-09-17 |