| NPI | 1447553144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY D MILLS Sole Member 505-856-5998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2010-12-19 |
| Last Update Date | 2023-06-29 |