| NPI | 1528680774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE MCMANAWAY President 386-688-4106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-11 |