| NPI | 1609889807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C SARTIN Owner 228-864-7056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: MS 01681/01.1) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |