| NPI | 1245216746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY LEE FAUSTNER Owner 580-248-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2012-05-01 |