| NPI | 1649663360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELDA JOYCE GRIGGS Owner Manager 866-290-3790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2015-03-05 |