| NPI | 1598192692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL G HICKS Sole Owner 772-579-5323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2013-10-03 |