| NPI | 1912182445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG BROOKS Owner 870-931-0022 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-12-10 |