| NPI | 1649263658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK A. DELAUTER President/Co Owner 866-569-9891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2020-08-22 |