| NPI | 1467773663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN WOOD Administrator 505-595-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2010-06-22 |