| NPI | 1881600641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER M FOX Office Manager 270-534-9713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2008-05-05 |