| NPI | 1497928626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ASHLEY BUTLER Vice President 662-489-9330 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 1132590001) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: MS 1132590001) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2011-09-08 |