| NPI | 1922038561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMMY BLAKEMAN Owner Manager 270-634-0534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2019-08-02 |