NPI | 1326585639 |
---|---|
Entity Type | Organization |
Authorized Contact | MELODY RAY Managing Member 850-368-9373 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: FL 1-16-23681) |
Additional Taxonomies | 251S00000X (Licence: FL MH14594) |
Enumeration Date | 2017-01-24 |
Last Update Date | 2017-01-24 |