| NPI | 1851919658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN HARTLEY Co Owner 662-809-5387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |