| NPI | 1386678308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOSEPH DELOACH Owner 229-253-0067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 14573) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |