| NPI | 1336999234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMAREA MCJUNKINS Owner 662-801-8851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-03-25 |