| NPI | 1548456957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL BOWDOIN Owner/President 386-752-5833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1313357) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-19 |