| NPI | 1497920417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DENISE CROSS Owner 505-839-2904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |