| NPI | 1740577907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY W RACCA President 505-724-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2023-07-21 |