| NPI | 1366879603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY SCOTT GENTRY Owner 877-472-1102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2024-02-15 |