| NPI | 1104061647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEKKI LYNN DAVIS President 866-939-6246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2008-12-12 |