| NPI | 1568673655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANIS K DUNN Owner 228-863-8974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BD1200X Durable Medical Equipment & Medical Supplies Dialysis Equipment & Supplies |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |