| NPI | 1770217721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY JOSEPH FUSON Owner 606-261-5131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2022-07-14 |