| NPI | 1760081525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY RAY AYTES President/Member 800-892-5352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |