| NPI | 1609959329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NED O. KRONFOL President 662-335-4105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2015-05-04 |