| NPI | 1083630479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF EDWARD BENNERT Owner/ Partnership 806-373-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-08-22 |