| NPI | 1720017965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY RAY EAGERTON President 800-341-8823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 245) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-08-22 |