| NPI | 1609052141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN HOLLEY Owner 409-860-3156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |