| NPI | 1558911511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONNIE REESE CEO 505-550-5951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2023-11-27 |