| NPI | 1750389078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY DUNHAM Owner 270-651-8071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2008-10-28 |