| NPI | 1326439738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY LEE BATEASTE Owner/President 769-823-0325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-02-08 |
| Last Update Date | 2015-02-08 |