| NPI | 1518006410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRENTISS E SMITH Managing Member 251-470-5107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-08-17 |