| NPI | 1619913415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK THOMAS YOUNGBLOOD Owner 740-420-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2008-06-20 |