| NPI | 1992945760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE WADE SPRADLING President 888-600-1922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 200918575) |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2009-09-11 |