| NPI | 1114154358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN L. MCDANIEL Operations 575-762-4481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NM 14623382) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2009-06-15 |