| NPI | 1124247200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK GENE HAMMOND Chief Executive Manager 866-439-3465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-10-18 |