| NPI | 1558371385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY CROUSER President 754-581-2043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: n/a) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |