| NPI | 1689031692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN FOURTON Vice President 469-800-8649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |