| NPI | 1780488684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HARGROVE Owner 210-860-6238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2025-04-02 |
| Last Update Date | 2025-04-02 |