| NPI | 1699845255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEXTER JULIEN President 251-344-9443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 577) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2023-12-19 |