| NPI | 1376633008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG BROOKS Owner 870-931-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-12-20 |