| NPI | 1720906282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN GILES Admin 332-322-7962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies |
| Enumeration Date | 2026-07-09 |
| Last Update Date | 2026-07-09 |