| NPI | 1811054117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BRIAN SCOTT President 731-660-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2021-08-11 |