| NPI | 1063528339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY TAYLOR MARTIN Owner 276-676-3133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: VA 0206009127) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |