| NPI | 1720891773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCI LYNN HARVEY Vbo Director 984-317-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-01-31 |
| Last Update Date | 2025-01-31 |