| NPI | 1023071099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETTICIA A ENGLEMAN Owner 844-285-1135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0068028) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0013103) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2018-04-02 |