| NPI | 1033441555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL HENRY Owner 864-201-1404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2010-02-09 |