| NPI | 1790985406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE ROMERO President 601-384-6276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 02002/11.1) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: MS 02002/11.1) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2008-03-31 |