| NPI | 1346443876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH R SALATA Secretary 251-460-9095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2020-08-22 |