| NPI | 1225844384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL KNIGHT Consultant 915-328-4793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2024-12-05 |