| NPI | 1972829745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA JEAN KELLY Owner 469-667-7483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 1000339) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-04-19 |