| NPI | 1316905599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY CARL CEO/President 251-633-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-08-22 |