| NPI | 1033586821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH WARD HAIRSTON Owner 276-632-2441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |