| NPI | 1821154659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN JORDON President 336-315-5394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: NC 00593) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2008-01-28 |