| NPI | 1477658904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTTY LEON SCHONEWITZ Owner 228-388-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: MS 0668311.1) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2019-07-08 |