| NPI | 1154664142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERSCHAL JOSEPH WHITFORD Owner 505-301-0971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2022-07-21 |