| NPI | 1467497347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD SCOTT STREET C.E.O. 478-922-2889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: GA 62133) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2012-05-08 |