| NPI | 1760107098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DAWN TOLIVER Owner 254-624-1892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2022-10-10 |