| NPI | 1932617479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE ROCHELLE CARLSON Manager/Co Owner 512-769-6376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2023-06-13 |