| NPI | 1326104381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY BRUE RESTER Owner 580-726-5244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2008-03-21 |