| NPI | 1497832422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT THEODORE HATCH Manager 904-223-1602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-03-21 |