| NPI | 1114151818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN JOSEPH JONES BOWEN President 662-874-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BD1200X Durable Medical Equipment & Medical Supplies Dialysis Equipment & Supplies |
| 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies | |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies | |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2022-04-05 |