| NPI | 1679647093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES L MAGEE Executive Director 870-598-3881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: MO 9947) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2018-03-26 |