| NPI | 1932105525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE D BROWN Owner 800-248-2229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 0537400) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2009-10-21 |