| NPI | 1265925192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER S. REEVES Director 469-800-8332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2024-01-09 |