| NPI | 1114212446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW TWERS President 386-233-0075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2011-06-15 |