| NPI | 1033627948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE PALMER Manager 769-823-0325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 1117383) |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2018-01-12 |