| NPI | 1336694397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR DE LA ROSA President 915-588-5640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171WH0202X Contractor Home Modifications |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2016-08-19 |