| NPI | 1730478249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DODIE RACHEL NOLES Partner 541-646-0858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-08 |