| NPI | 1124991146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDIE MARIANO MORALES Director 232-323-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-09-25 |
| Last Update Date | 2025-09-25 |