| NPI | 1821069188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES LARRY QUINN Owner 662-862-7828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2020-08-22 |