| NPI | 1689915274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY LEE MOFFIT General Manager 855-476-7679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2013-03-07 |