NPI | 1730129164 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW BRIGHT Owner 662-809-0448 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 025-33425-1) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2021-04-27 |