| NPI | 1538208731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK MARQUEZ Manager 803-403-9018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: NJ 0688174) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-27 |