| NPI | 1043339187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOVETH ISIDAEHOMEN Owner 972-303-7602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 0062174) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2010-01-14 |