| NPI | 1215318035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JOHN WOLF President 228-863-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-08-03 |