| NPI | 1609612878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANTE B HINES President 549-598-3010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-08-01 |