| NPI | 1740433739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELOS YANCEY Owner 706-290-1330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: TN 0000000926) |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2008-11-04 |