| NPI | 1518162155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARTON TODD DRAYER Owner 765-607-6858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-03-04 |