| NPI | 1679611479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY P JOHNSON Manager 662-934-4001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |