| NPI | 1093968356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERON FURR Director 706-215-0949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2008-10-30 |