| NPI | 1710399266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE STEWART Supervisor 251-443-7667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 1349) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2023-08-04 |