NPI | 1073800298 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID LEE WILLIAMS Owner 225-253-3862 |
Organization Subpart ? | No |
Primary Taxonomy | 171WH0202X Contractor, Home Modifications |
Additional Taxonomies | 171W00000X Contractor |
332B00000X Durable Medical Equipment & Medical Supplies | |
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
Enumeration Date | 2011-07-08 |
Last Update Date | 2011-07-08 |