| NPI | 1306571419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ALLEN BUCK Owner 385-333-9425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2022-07-26 |