| NPI | 1639315146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA MATKIN Medical Billing Specialist 251-490-4478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2009-01-05 |