| NPI | 1851612055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN M LEICHLITER CEO / Owner 903-574-3335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2010-06-22 |