| NPI | 1043188261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL MICHELLE JOHNSON Owner 580-280-2558 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-10-28 |
| Last Update Date | 2025-11-18 |