| NPI | 1538123021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH R HODGES CEO 866-530-7848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: NC 00796) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2010-09-13 |