| NPI | 1598322067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD L CALLIS President 877-761-1204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2022-05-31 |