| NPI | 1134540982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATISHA SHELTON Owner 541-508-6313 |
| 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 | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2013-12-20 |