| NPI | 1053399899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD K FREEMAN President Owner 276-328-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2020-08-22 |