| NPI | 1831243799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL STONE LOLLEY Owner 270-926-2252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2021-11-15 |