NPI | 1609876267 |
---|---|
Entity Type | Organization |
Authorized Contact | GENE O QUIRK Owner 225-664-2303 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
Enumeration Date | 2005-07-26 |
Last Update Date | 2014-01-22 |