| NPI | 1093051005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS D BYRD General Counsel 754-777-5321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TN 510) |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2015-05-12 |