| NPI | 1851457147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN L MOORE Owner 386-344-4376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |