| NPI | 1124627997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN C LYONS CFO 423-262-9720 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2025-04-09 |