| NPI | 1396157053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE HOLLEY Owner 469-791-9226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2014-05-28 |