| NPI | 1295165454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD HARRISON V.P 779-324-2435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2013-11-25 |