| NPI | 1851420426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEALEAN DANTZLER Managing Member 251-473-1884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 011404) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2007-11-26 |