| NPI | 1114916962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA FAYE MURRAY Owner 800-696-2968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 100405) |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2012-08-13 |