| NPI | 1083750210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS BRYAN CARTER COO 855-230-5632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 0000000615) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2018-08-17 |