| NPI | 1851394928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY RENEE GRIFFITH General Manager 866-485-8463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: CA 200699) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2008-04-22 |