| NPI | 1053458877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZELLA RUDD Owner Fitter 660-665-6429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2008-07-31 |