| NPI | 1295934198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE WARD WRAY President 9194-796-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2007-07-12 |