| NPI | 1336216233 |
|---|---|
| Former Legal Business Name | ELEGANT MOTHER |
| Entity Type | Organization |
| Authorized Contact | JUNE CAROLYN RODGERS Owner President 270-789-0086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |