| NPI | 1245936681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN LOGAN Director Of Operations 662-329-9095 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2023-02-07 |