| NPI | 1891787149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY J LEGGETT Manager Of Billing 239-513-7144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2022-07-21 |