| NPI | 1497013742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITH ANN STANLEY Owner 270-754-2268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |