| NPI | 1750676110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERI KILLOUGH MILLARD CEO 904-372-0029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2019-01-07 |