Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier |
| NPI # | 1972740397 |
| LBN Legal business name | STAR VALLEY HOME OXYGEN |
| Authorized official | CRAIG WALTHER - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/08/2009 |
| Last updated | 10/05/2009 - About 17 years ago |
| Identifiers | n/a |
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