| NPI | 1467159756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY NOEL Authorized Offical 762-267-1973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2023-07-06 |