| NPI | 1073781688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDY H EDWARDS President 662-801-1286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-02-16 |
| Last Update Date | 2008-02-16 |