| NPI | 1215045125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A MATHIS President Director 505-821-3355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-26 |