| NPI | 1568609196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE A HAMILTON Owner 228-297-7152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2017-02-09 |