| NPI | 1013308618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY WAYNE JOHNSON President 251-643-3370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2024-03-12 |