| NPI | 1851399190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ED BAISE Owner 270-465-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2011-06-06 |