NPI | 1013070937 |
---|---|
Doing Business As | LIVE WELL MEDICAL SUPPLY |
Entity Type | Organization |
Authorized Contact | TRENTON K FERGUSON President 903-530-3912 |
Organization Subpart ? | No |
Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 0093289) |
Enumeration Date | 2006-12-19 |
Last Update Date | 2020-08-22 |