| NPI | 1235378092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNSON GEORGE Director 2 469-835-0539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2009-02-18 |