| NPI | 1790347284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN OWEN BAILEY CEO/Contract Officer 251-471-7118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2019-07-03 |