| NPI | 1629009063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES R AVRITT President 662-843-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: MS 0390111.1) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2012-06-14 |