| NPI | 1083872014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA U HAIRSTON CEO 972-475-3358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: TX 0084934) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |