| NPI | 1013119429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL LEE WRIGHT Owner 765-966-6308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2008-04-10 |