| NPI | 1114163037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FLOYD HOOVER President 870-910-5438 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2008-12-23 |