NPI | 1033384821 |
---|---|
Entity Type | Organization |
Authorized Contact | BURT L. PATTERSON Owner 228-875-0158 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2008-04-23 |
Last Update Date | 2012-11-28 |