| NPI | 1730305871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LEE BROOKS Owner 662-378-3117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2023-01-30 |