| NPI | 1700175346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN L MCDANIEL Vice President 575-762-4481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NM 01405146000) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-05 |