| NPI | 1861545964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE HARRIS Owner,President 251-275-3416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 102420) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |