NPI | 1902982184 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIE I BUTLER President 386-792-2224 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1175) |
Enumeration Date | 2006-10-31 |
Last Update Date | 2009-11-19 |