| NPI | 1578596839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY W BROWN Owner/President 575-885-6780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NM 02178873001) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2016-01-15 |