| NPI | 1336855907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY NICOLETTE ERVIN CEO 469-862-7307 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2023-01-26 |