| NPI | 1538137195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNE M FUGITT Owner 888-250-5003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV H13-00157-4-097424) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2012-02-15 |