| NPI | 1912096470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY R CROUSER Pres 754-581-2043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: N/A) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |