| NPI | 1013957786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DENEISE STANDEFER President 423-802-5143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TN 0000000855) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2012-10-26 |