| NPI | 1720892268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE THOMAS WIGGINS Owner 270-298-0259 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2025-02-05 |