| NPI | 1285089409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY A WILLIS Owner 251-943-3606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 1431) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-04-25 |