| NPI | 1629368071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN MARIE HOWELL Manager 251-533-2269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2011-04-19 |