| NPI | 1073719589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTTY SCHONEWITZ CEO 251-471-1088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: AL 2007-010191) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2019-07-08 |