| NPI | 1033499231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA HUBER Owner 865-806-9994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 0239339) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2011-08-19 |