| NPI | 1578846028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVAR PETTWAY President 888-368-0007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-12-20 |