| NPI | 1033979000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY FLETCHER Director 267-272-7791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-03-19 |
| Last Update Date | 2024-03-19 |