| NPI | 1699416487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT FOLDEN CEO 870-333-1230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-12-14 |