| NPI | 1598934283 |
|---|---|
| Doing Business As | SUPPORT HOSE STORE |
| Entity Type | Organization |
| Authorized Contact | RODNEY J LANCOUR Owner/CFO 806-331-1618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2012-08-08 |