| NPI | 1275656274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE YVETTE HENDERSON Manger 469-360-5261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2009-03-09 |