| NPI | 1881097335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC D GREEN Owner 915-779-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Additional Taxonomies | 171WH0202X Contractor Home Modifications |
| 171WV0202X Contractor Vehicle Modifications | |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2017-03-30 |