| NPI | 1740847862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY A CRESS Managing Member 346-201-5724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-05-23 |