| NPI | 1912994625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS D BYRD General Counsel 754-777-5321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TN 0000000510) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 0000000510) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TN 0000000510) | |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2015-05-12 |