| NPI | 1225146459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH ALLEN KALAGIAN President 601-607-4192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: MS 07090/11.1) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2011-07-13 |