| NPI | 1982174116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA MARIE BYRD Owner 812-582-0656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2018-11-30 |