| NPI | 1962865964 |
|---|---|
| Former Legal Business Name | LONGORIA MOBILTY MEDCIAL SUPPLIES LLC |
| Entity Type | Organization |
| Authorized Contact | JUSTIN M LONGORIA Manger 210-701-2728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |