| NPI | 1376180174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY HAUCK Treasurer/Co Founder 817-938-3513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-11-30 |
| Last Update Date | 2019-11-30 |