| NPI | 1235925066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW GREEN Owner 915-333-0318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 171WH0202X Contractor, Home Modifications |
| 171WV0202X Contractor, Vehicle Modifications | |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-04-17 |