| NPI | 1902047285 |
|---|---|
| Doing Business As | PROVIDENCE MEDICAL EQUIPMENT SERVICES |
| Entity Type | Organization |
| Authorized Contact | ODIS W. NICHOLS COO 254-751-4000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2010-08-04 |