| NPI | 1821283185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMMER LACE TERRELL President 904-388-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 26-8013896529-9) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2011-11-15 |