| NPI | 1194372235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW FLYNN Owner 912-507-0894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2019-08-22 |