| NPI | 1457105736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELTON BROWN Owner 940-923-0878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 174200000X Meals |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-05-31 |