| NPI | 1760606032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOFIA DELOLMO Manager 915-875-0890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0031177) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |