| NPI | 1487620001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDELL DIRK PARISH Author. Official 903-793-1633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 012267) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2020-08-22 |