| 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 |