| NPI | 1417567504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL GAIL MULLINS CEO/Owner 575-318-3673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |