| NPI | 1295716058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLIE BARNES Owner 229-245-6039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: FL 33702) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 33702) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2021-06-17 |