| NPI | 1821012444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEENA KAY MOONEY Admin Director 409-384-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0070704) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2010-01-14 |