| NPI | 1801866173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL R SIMMONS President, Cchh 682-885-2409 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: 4026020001) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2024-08-06 |