| NPI | 1942748181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE A HAMILTON Owner 228-872-1386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 08095/11.1) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-02-08 |