| NPI | 1154386613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TODD RHODES Owner 251-471-1164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: AL 900591) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2008-02-07 |