| NPI | 1316355076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE C DANIEL President 229-382-1334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA gbu20140244) |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-07-25 |