| NPI | 1043450257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAREL D. DEVENPORT Proprietor 575-624-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NM 01-134826-00-7) |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2009-02-27 |