| NPI | 1518385764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDALL W MILLER Owner 251-943-0707 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 788) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2014-04-04 |