| NPI | 1225073695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STAN D HAMILTON Owner 662-324-1799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: MS 02369/11.1) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2020-08-22 |