| NPI | 1255671152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA L MULLINS Manager 276-623-4260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2013-03-01 |