| NPI | 1063656544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN DAVID HUGHES Vice President 270-450-0867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2010-08-10 |