| NPI | 1356650956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DODIE RACHEL NOLES Owner 541-646-0858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2010-09-29 |