| NPI | 1750451647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN GREEN President 866-443-2702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 5432910001) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2008-10-27 |