| NPI | 1851324073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE KIMBERLY COX Co Owner 251-472-0848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: 637) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |