| NPI | 1356580427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY EDWARD TIFF Manager/Owner 660-665-4062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2009-02-13 |