NPI | 1669507018 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL EDGAR JOHNSTON Owner 501-860-6910 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2007-02-23 |
Last Update Date | 2009-09-30 |