| NPI | 1619035367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON DONALD HENDERSON General Manager 251-338-5633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |