| NPI | 1356511547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY BLAND Owner/Pres 270-469-9989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |