| NPI | 1477198604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA DIANNE LAWRENCE Owner 762-220-3460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2020-03-17 |