| NPI | 1912344219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A BUCKHOLDT Owner/Operations Manager 800-845-6364 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1001669) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2016-08-02 |