| NPI | 1710383096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAITLYN LORENE RUSH Co Owner 972-897-3482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2014-11-13 |