NPI | 1578646154 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN GARRETT DUCHARME President / CEO 228-875-7950 |
Organization Subpart ? | No |
Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: MS 05955 / 11.1) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2008-11-25 |