| NPI | 1851408710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA B KELLER Owner 731-627-9573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2011-05-17 |