| NPI | 1649822636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODY LORAINE HANNAH Owner 541-249-9860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2020-03-05 |