| NPI | 1720456643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA J ALLRED Vice President 931-879-9926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TN 508) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2021-05-10 |