| NPI | 1225215478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY RAE SNIPES Owner 575-762-1290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NM 01885100002) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-07-10 |