| NPI | 1205300050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL WILLIAMS Manager 833-699-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-01-15 |