| NPI | 1750717567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP E BANE President 386-672-9530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2013-09-25 |