| NPI | 1649354143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY S. TATE Chief Executive Officer 251-470-5842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2013-11-27 |