| NPI | 1144451451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY WAYNE BROWN Director 575-302-1963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2009-08-04 |