| NPI | 1942308689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA TAYLOR Owner 251-344-4212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2010-06-29 |