| NPI | 1205802048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT MAIR Owner 365-589-5777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 853) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2010-07-02 |