| NPI | 1386319770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY DWAYNE EVANS CFO 833-795-2777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2021-08-09 |