| NPI | 1598884595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY STROHACKER Manager 505-293-1705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |