| NPI | 1689639395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY WILLIAMS Owner 505-872-1352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NM 03-002816-00-7) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2012-01-11 |