| NPI | 1851693543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREANA BAILEY MILLS Owner 800-709-2187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |