| NPI | 1891078309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG A DALEY President & CEO 386-673-6902 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 0000001052) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TN 0000001052) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2012-05-15 |