NPI | 1124264114 |
---|---|
Entity Type | Organization |
Authorized Contact | LORETTA V HENDERSON Proprietor 866-365-3668 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PO1685) |
Enumeration Date | 2008-12-23 |
Last Update Date | 2008-12-23 |